NPIMap

Organization Active NPI

Bayside Healthcare, Inc.

  • Skilled Nursing Facility
  • Chula Vista, CA
National Provider Identifier
1376946277
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAYSIDE HEALTHCARE, INC.
Practice address
553 F St
Chula Vista, CA 91910-3515
Phone
(619) 426-8611
Fax
(619) 426-2315
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

553 F St
Chula Vista, CA 91910-3515

Mailing address

553 F St
Chula Vista, CA 91910-3515
Phone (619) 426-8611

Other names 1

  • South Bay Post Acute Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106001866 CA Part A Provider - Skilled Nursing Facility 3577886118 Practice locations: Chula Vista, CA

Skilled nursing facility certification: CCN 555873

Legal name
BAYSIDE HEALTHCARE INC
Doing business as
SOUTH BAY POST ACUTE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 23, 2011
Last certification
May 8, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Flagstone
Most recent change of ownership
Dec 1, 2014
Organization structure
CorporationProprietary
Incorporated
Sep 10, 2014 in NV
Enrollment address
553 F St
Chula Vista, CA 91910-3515
Nursing home name
SOUTH BAY POST ACUTE CARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
South Bay Post Acute CareCCN 555873
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 23, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0718945South Bay Post Acute Care553 F Street, Chula Vista, CA 91910Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bayside Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine Oh Individual Corporate OfficerPresident Bayside Healthcare, Inc. Jun 1, 2025
Collingwood Manor Nursing Facility, LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Dec 1, 2014
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 1, 2014
Adam Willits Individual Corporate DirectorDirector Bayside Healthcare, Inc. Sep 1, 2017
Ami Sato Individual Corporate OfficerTreasurer Bayside Healthcare, Inc. Sep 9, 2024
John Jimenez Individual Operational/Managerial ControlAdministrator Dec 1, 2014
Managing Control - Governing BodyAdministrator Dec 1, 2014
Adp of the SNF Dec 1, 2014
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 10, 2014 100%
Amir Fahid Individual Operational/Managerial Control Sep 19, 2024
Managing Control - Governing BodyMedical Director Sep 19, 2024
Adp of the SNF Sep 19, 2024
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Soon Burnam Individual Corporate OfficerSecretary Bayside Healthcare, Inc. Sep 10, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Amir H Fahid
    • Internal Medicine Physician
    • Coronado, CA
    • NPI 1568740355

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 37

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1376946277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103515",
            "telephone_number": "619-426-8611",
            "fax_number": "619-426-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103515",
            "telephone_number": "619-426-8611",
            "fax_number": "619-426-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Bay Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.